PETRA MASSIS CCC-SLP
NPI 1073255618
Speech-Language Pathologist in Herndon, VA

Active since April 13, 2022
13582 BIG BOULDER RD, HERNDON, VA 20171(571) 329-2658 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Petra Massis Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETRA MASSIS CCC-SLP (NPI 1073255618) is an individual speech-language pathologist provider in Herndon, Virginia, licensed in Virginia (A60879991) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1073255618
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NamePETRA MASSISCredential: CCC-SLP
Location Address13582 BIG BOULDER RDHerndon, VA 20171-5000
Mailing Address13582 Big Boulder RdHerndon, VA 20171-5000 · (571) 329-2658
Sole ProprietorYes
Enumeration DateApril 13, 2022
Last NPPES UpdateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
NPI 1073255618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in VA · A60879991
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

13582 BIG BOULDER RD, Herndon, VA 20171

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Massis's NPI number?

The NPI number for Petra Massis is 1073255618. It was assigned to this individual provider in the NPPES registry on April 13, 2022.

Where is Petra Massis located?

Petra Massis practices at 13582 Big Boulder Rd, Herndon, VA 20171. The listed phone number is (571) 329-2658.

What is Petra Massis's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Petra Massis was last updated on August 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.